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Long-Term Safety Study of Fluticasone Propionate (Fp) Multidose Dry Powder Inhaler (MDPI) and Fluticasone Propionate/Salmeterol (FS) MDPI in Patients With Persistent Asthma

A 26-Week Open-Label Study to Assess the Long-Term Safety of Fluticasone Propionate Multidose Dry Powder Inhaler and Fluticasone Propionate/Salmeterol Multidose Dry Powder Inhaler in Patients 12 Years of Age and Older With Persistent Asthma

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02175771
Enrollment
758
Registered
2014-06-26
Start date
2014-07-31
Completion date
2015-07-31
Last updated
2021-11-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Persistent Asthma

Brief summary

The primary objective of the study is to evaluate the long-term safety of fluticasone propionate (Fp) inhalation powder in 2 strengths and fluticasone propionate/salmeterol inhalation (FS) powder in 2 strengths when administered with the Teva multidose dry powder inhaler (MDPI) device over 26 weeks in patients with persistent asthma.

Detailed description

This was a stratified, randomized, open-label, active drug-controlled Phase 3 study. Patients who met all of the inclusion criteria and none of the exclusion criteria at the screening visit completed a 14 day (±2 days) pretreatment run in period. During the run-in period, patients continued using their current asthma medications (ie, inhaled corticosteroid and/or other controller therapies) except for their SABA, which was replaced by the sponsor-provided albuterol (salbutamol) hydrofluoroalkane (HFA) inhaler to be used as needed for symptomatic relief of asthma symptoms during the run in and treatment periods. Patients were assigned to inhaled corticosteroid (ICS) monotherapy or inhaled corticosteroid/long acting beta2 agonist (ICS/LABA) combination therapy and then to a mid- or high-treatment strength based on their current asthma maintenance therapy regimen. Patients in each strength of the ICS monotherapy cohort were randomly assigned in a 3:1 distribution to either the Fp MDPI or FLOVENT HFA treatment arm. Patients in each strength of the ICS/LABA combination cohort were randomly assigned in a 3:1 distribution to either the FS MDPI or ADVAIR DISKUS treatment arm. There was a total of 8 treatment arms following randomization.

Interventions

Fp MDPI is an inhalation-driven multidose dry powder inhaler (MDPI) containing fluticasone propionate dispersed in a lactose monohydrate excipient. During the treatment period, participants were randomized to either 100 mcg or 200 mcg of Fp one inhalation twice a day for a total daily dose of 200 mcg or 400 mcg. Study drug was administered in the morning and in the evening.

FS MDPI is an inhalation-driven multidose dry powder inhaler (MDPI) containing fluticasone propionate (Fp) and salmeterol xinafoate (Sx) dispersed in a lactose monohydrate excipient. During the treatment period, participants were randomized to either Fp/Sx MDPI 100/12.5 mcg or Fp/Sx MDPI 100/12.5 mcg twice a day for a total daily dose of 200/25 mcg or 400/25 mcg Fp/Sx. Study drug was administered in the morning and in the evening.

FLOVENT HFA is a hydrofluoroalkane (HFA) inhaler containing fluticasone propionate. During the treatment period, participants were randomized to either 110 mcg or 220 mcg of FLOVENT two puffs, twice a day for a total daily dose of 440 mcg or 880 mcg. Study drug was administered in the morning and in the evening.

ADVAIR DISKUS contains a dry powder formulation of fluticasone propionate (Fp) and salmeterol xinafoate (Sx) in a lactose excipient. During the treatment period, participants were randomized to Fp 250 mcg/Sx 50 mcg or Fp 500 mcg/Sx 50 mcg one inhalation, twice a day for a total daily dose of 500/100 mcg or 1000/100 mcg. Study drug was administered in the morning and in the evening.

DRUGalbuterol/salbutamol HFA

A short-acting β2-adrenergic agonists (SABA), albuterol/salbutamol hydrofluoroalkane (HFA) metered dose inhaler (MDI), was provided to be used as needed for the relief of asthma symptoms during both the run-in and treatment periods (to replace the subject's current rescue medication).

Sponsors

Teva Branded Pharmaceutical Products R&D, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Best pre-bronchodilator forced expiratory volume in 1 second (FEV1) of greater than 40% of their predicted normal value. 2. Patients must have a treatment regimen that includes a short-acting β2 agonist (SABA) (albuterol) for use as needed and either an inhaled corticosteroid (ICS) or an ICS/long-acting β2 agonist (LABA) as a preventative treatment for a minimum of 8 weeks before the SV. Patients currently taking low-dose ICS without LABA are not eligible for this study. Patients currently taking low-dose ICS/LABA may only be entered into the mid ICS strength. All patients must have been maintained on a stable dose of ICS or ICS/LABA for 4 weeks prior to the SV (or pre-SV if necessary) at 1 qualifying doses 3. To meet reversibility of disease criteria, the patient must demonstrate a ≥12% reversibility of FEV1 (and 200 mL for patients aged18 years and older) within 30 minutes following 4 inhalations of albuterol at the SV. Historic reversibility within the past 12 months of the SV may be used to meet this criterion. 4. Written informed consent/assent is obtained. For adult patients (aged 18 years and older, or as applicable per local regulations), the written informed consent form (ICF) must be signed and dated by the patient before conducting any study-related procedure. For minor patients (aged 12 to 17 years, or as applicable per local regulations), the written ICF must be signed and dated by the parent/legal guardian and the written assent form must be signed and dated by the patient (if applicable) before conducting any study-related procedure. Note: Age requirements are as specified by local regulations. 5. Outpatient \>= 12 years of age on the date of consent/assent. . 6. Asthma diagnosis: The patient has a diagnosis of asthma as defined by the National Institutes of Health (NIH). The asthma diagnosis has been present for a minimum of 3 months and has been stable (defined as no exacerbations and no changes in medication) for at least 30 days before providing informed consent. 7. The patient is able to perform acceptable and repeatable spirometry. 8. The patient is able to perform peak expiratory flow (PEF) with a handheld peak flow meter. 9. The patient is able to use a metered-dose inhaler (MDI) device without a spacer device and a MDPI device. 10. The patient is able to withhold (as judged by the investigator) his or her regimen of ICS or study drug, and rescue medication for at least 6 hours before the SV and before all treatment visits where spirometry is performed. 11. The patient/parent/legal guardian/caregiver is capable of understanding the requirements, risks, and benefits of study participation, and, as judged by the investigator, capable of giving informed consent/assent and being compliant with all study requirements. 12. SABAs: All patients must be able to replace their current SABA with albuterol/salbutamol HFA inhalation aerosol at the SV for use as needed for the duration of the study. 13. Female patients may not be pregnant, breastfeeding, or attempting to become pregnant. * -Other criteria may apply, please contact the investigator for more information

Exclusion criteria

1. The patient has a history of a life-threatening asthma exacerbation that is defined for this protocol as an asthma episode that required intubation and/or was associated with hypercapnea, respiratory arrest, or hypoxic seizures. 2. The patient is pregnant or lactating, or plans to become pregnant during the study period or for 30 days after the study. 3. The patient has participated as a randomized patient in any investigational drug study within the 30 days preceding the SV (or prescreening visit, as applicable) or plans to participate in another investigational drug study at any time during this study. 4. The patient has previously participated in an Fp MDPI or FS MDPI study. 5. The patient has a known hypersensitivity to any corticosteroid, salmeterol, or any of the excipients in the study drug or rescue medication formulation (ie, lactose). 6. The patient has been treated with any known strong cytochrome P450 (CYP) 3A4 inhibitors (eg, azole antifungals, ritonavir, or clarithromycin) within 30 days before the SV or plans to be treated with any strong CYP3A4 inhibitor during the study. 7. The patient has been treated with any of the prohibited medications during the prescribed (per protocol) washout periods before the SV. 8. The patient currently smokes or has a smoking history of 10 pack-years or more (a pack-year is defined as smoking 1 pack of cigarettes/day for 1 year). The patient may not have used tobacco products within the past year (eg, cigarettes, cigars, chewing tobacco, or pipe tobacco). 9. The patient has a culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus, or middle ear that has not resolved at least 2 weeks before the SV. 10. The patient has a history of alcohol or drug abuse within 2 years preceding the SV. 11. The patient has had an asthma exacerbation requiring systemic corticosteroids within 30 days before the SV, or has had any hospitalization for asthma within 2 months before the SV. 12. Initiation or dose escalation of immunotherapy (administered by any route) is planned during the study period. However, patients who initiated immunotherapy 90 days or more before the SV and have been on a stable (maintenance) dose for 30 days or more before the SV may be considered for inclusion. 13. The patient has used immunosuppressive medications within 4 weeks before the SV. 14. The patient is unable to tolerate or unwilling to comply with the appropriate washout periods and withholding of all applicable medications. (Patients that require continuous treatment with β-blockers, monoamine oxidase inhibitors, tricyclic antidepressants, anticholinergics, and/or systemic corticosteroids are excluded). 15. The patient has untreated oral candidiasis at the SV. Patients with clinical visual evidence of oral candidiasis who agree to receive treatment and comply with appropriate medical monitoring may enter the study. 16. The patient has a history of a positive test for human immunodeficiency virus, active hepatitis B virus, or hepatitis C infection. 17. The patient is either an employee or an immediate relative of an employee of the clinical investigational center. 18. A member of the patient's household is participating in the study at the same time. However, after the enrolled patient completes or discontinues participation in the study, another patient from the same household may be screened. 19. The patient has a disease/condition that in the medical judgment of the investigator would put the safety of the patient at risk through participation or that could affect the efficacy or safety analysis if the disease/condition worsened during the study. * Other criteria may apply, please contact the investigator for more information Criteria for Randomization: Patients were randomized into the study if they met all of the following criteria: 1. The patient continued to be in general good health, meeting the entry criteria. 2. The patient continued to have a predose/pre-albuterol FEV1 at the randomization visit (RV) that was ≥40% of predicted normal. 3. The patient had no clinically significant abnormal laboratory test results or ECG findings at the screening visit. 4. The patient had no significant changes in asthma medications during run-in, excluding the albuterol/salbutamol HFA (90 mcg ex actuator) or equivalent used as rescue medication as supplied per protocol. 5. The patient did not have a upper respiratory tract infection (URI) or lower respiratory tract infection (LRI) during the run in period. Patients who developed a URI or LRI during the run in period could be discontinued from the study and allowed to re-screen 2 weeks after resolution of symptoms. 6. The patient had no asthma exacerbation during the run in period, defined as any worsening of asthma requiring any significant treatment other than rescue albuterol/salbutamol HFA (90 mcg ex actuator) or equivalent or the patient's run-in MDPI. This included requiring the use of systemic corticosteroids and/or emergency department (ED) visit or hospitalization or an increase in the patient's regularly prescribed nonsteroidal maintenance treatment. Urgent care/ED visits where the treatment was limited to a single dose of nebulized albuterol/salbutamol did not meet the criteria of an asthma exacerbation. 7. The patient had no clinical visual evidence (on oropharyngeal examination) of oropharyngeal candidiasis. 8. The patient did not experience an adverse event that would result in failure to continue to meet selection criteria. 9. The patient did not use any of the prohibited concomitant medications during the run in period. 10. The patient complied with completion of the daily diary, defined as follows: * completion of AM and PM asthma symptom scores on 4 or more of the 7 days immediately preceding the RV. * completion of rescue medication use (whether used or not) on 4 or more of the 7 days immediately preceding the RV. * completion of AM peak expiratory flow (PEF) measurements on 4 or more of the 7 days immediately preceding the RV. * recording of AM and PM asthma inhalation therapy use on 4 or more of the 7 days immediately preceding the RV.

Design outcomes

Primary

MeasureTime frameDescription
Participants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment PeriodDay 1 to Week 26 of the Treatment PeriodAn adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.

Secondary

MeasureTime frameDescription
Participants With Positive Swab Test Results for Oral CandidiasisBaseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, EndpointOropharyngeal examinations for visual evidence of oral candidiasis were conducted at each visit by a qualified healthcare professional. Any visual evidence of oral candidiasis during the oropharyngeal exam was evaluated by obtaining and analyzing a swab of the suspect area. This outcomes indicates how many participants had positive swab test results. The total number of participants who had oropharyngeal exams at each timepoint are specified in the timepoint field. Appropriate therapy was to be initiated immediately at the discretion of the investigator and was not to be delayed for culture confirmation. Participants with a culture-positive infection could continue participation in the study on appropriate anti-infective therapy, provided this therapy was not prohibited by the protocol.
Participants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodBaseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, EndpointData represents participants with potentially clinically significant (PCS) vital sign values during the Treatment period. Significance criteria: * Systolic blood pressure - high: \>=180 and increase \>=20 mmHg * Systolic blood pressure - low: \<=90 and decrease \>=20 mmHg * Diastolic blood pressure - high: \>=105 and increase of \>=15 mmHg * Diastolic blood pressure - low: \<=50 and decrease of \>=15 mmHg * Pulse - high: \>=120 and increase of \>= 15 beats/minute from baseline * Pulse - low: \<=50 and decrease of \>=15 beats/minute
Shifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsScreening (Day -14), Endpoint (week 26 if study was completed)A 12 lead ECG was conducted at the screening visit and week 26 or the early termination visit. A qualified physician at a central diagnostic center was responsible for interpreting the ECG. The worst post-baseline finding for the participant is summarized. Endpoint refers to the last observation carried forward.
Analysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment PeriodBaseline (Day 1, pre-treatment), Weeks 14 and 26 and early termination visit if applicableSamples for 24-hour urine cortisol were collected at baseline (Day 1, pretreatment), and Weeks 14 and 26. For participants requiring early termination (ET), this evaluation was performed at the ET visit. For participants requiring ET for safety reasons, the visit was not delayed in order to collect the 24-hour urine cortisol. The analysis is based on a mixed model for repeated measures (MMRM) model with adjustment for visit, treatment, and a treatment\*visit interaction. The urine cortisol result is log transformed prior to analysis and the results are back transformed after modeling. An unstructured covariance matrix is used in the MMRM model.
Change From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment PeriodBaseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, early termination visit if applicableSpirometry measurements were obtained before the AM dose of study drug for the randomization visit (Day 1), at each of the treatment visits and at the early termination visit if applicable. At each visit where FEV1 was assessed, the highest acceptable results from each session were recorded. The analysis is based on a mixed model for repeated measures (MMRM) with adjustment for baseline FEV1, sex, age, (pooled) investigational center, visit, treatment, and treatment-by-visit. An unstructured covariance matrix is used in the MMRM model.

Countries

United States

Participant flow

Recruitment details

Of the 1087 patients screened, 758 patients at 103 investigational centers in the US met entry criteria. 331 patients were not enrolled: 267 due to inclusion/exclusion criteria, 21 withdrew consent, 9 were lost to follow up, 4 had an adverse event, and 30 patients had reason of 'other' or missing.

Pre-assignment details

Participants in each strength of the ICS monotherapy cohort were randomly assigned in a 3:1 distribution to either the Fp MDPI or FLOVENT HFA treatment arm. Participants in each strength of the ICS/LABA combination cohort were randomly assigned in a 3:1 distribution to either the FS MDPI or ADVAIR DISKUS treatment arm.

Participants by arm

ArmCount
Fp MDPI 100 mcg
Participants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate (Fp) for a total daily dose of 200 mcg Fp for 26 weeks. This was the mid-strength experimental intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
127
FLOVENT HFA 110 mcg
Participants took 2 inhalations using a hydrofluoroalkane (HFA) inhaler twice a day of fluticasone propionate (Fp) for a total daily dose of 440 mcg Fp for 26 weeks. This was the mid-strength active comparator intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
42
Fp MDPI 200 mcg
Participants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate (Fp) for a total daily dose of 400 mcg Fp for 26 weeks. This was the high-strength experimental intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
126
FLOVENT HFA 220 mcg
Participants took 2 inhalations using a hydrofluoroalkane (HFA) inhaler twice a day of fluticasone propionate (Fp) for a total daily dose of 880 mcg Fp for 26 weeks. This was the high-strength active comparator intervention in the inhaled corticosteroid (ICS) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
41
FS MDPI 100/12.5 mcg
Participants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate/salmeterol (FS) 100/12.5 mcg for a total daily dose of 200/25 mcg FS for 26 weeks. This was the mid-strength experimental intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
120
ADVAIR DISKUS 250/50 mcg
Participants took 1 inhalation of a dry-powder formulation twice a day of fluticasone propionate/salmeterol (FS) 250/50 mcg for a total daily dose of 500/100 mcg FS for 26 weeks. This was the mid-strength active comparator intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
41
FS MDPI 200/12.5 mcg
Participants took 1 inhalation using a multidose dry powder inhaler (MDPI) twice a day of fluticasone propionate/salmeterol (FS) 200/12.5 mcg for a total daily dose of 400/25 mcg FS for 26 weeks. This was the high-strength experimental intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
133
ADVAIR DISKUS 500/50 mcg
Participants took 1 inhalation of a dry-powder formulation twice a day of fluticasone propionate/salmeterol (FS) 500/50 mcg for a total daily dose of 1000/100 mcg FS for 26 weeks. This was the high-strength active comparator intervention in the inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA) cohort. Albuterol/salbutamol HFA metered dose inhaler (MDI) was supplied to participants throughout the study to be used as needed as a rescue medication.
44
Total674

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008
Run-In Period (Pre-assignment)Adverse Event900000000
Run-In Period (Pre-assignment)Exclusion criteria met2000000000
Run-In Period (Pre-assignment)Inclusion criteria not met700000000
Run-In Period (Pre-assignment)Lost to Follow-up600000000
Run-In Period (Pre-assignment)Other800000000
Run-In Period (Pre-assignment)Randomization criteria not met2300000000
Run-In Period (Pre-assignment)Withdrawal by Subject1100000000
Treatment PeriodAdverse Event021113201
Treatment PeriodDisease progression000000020
Treatment PeriodLack of Efficacy000001010
Treatment PeriodLost to Follow-up031312122
Treatment PeriodNoncompliance012000001
Treatment PeriodOther010310020
Treatment PeriodProtocol Violation000000010
Treatment PeriodWithdrawal by Subject093624292

Baseline characteristics

CharacteristicFp MDPI 200 mcgFLOVENT HFA 220 mcgFS MDPI 100/12.5 mcgADVAIR DISKUS 250/50 mcgFLOVENT HFA 110 mcgFS MDPI 200/12.5 mcgADVAIR DISKUS 500/50 mcgTotalFp MDPI 100 mcg
Age, Customized
Adolescents (12-17 years)
16 Participants3 Participants13 Participants5 Participants7 Participants9 Participants1 Participants73 Participants19 Participants
Age, Customized
Adults (18-64 years)
96 Participants35 Participants94 Participants31 Participants32 Participants106 Participants41 Participants531 Participants96 Participants
Age, Customized
Adults (65+ years)
12 Participants3 Participants13 Participants5 Participants3 Participants18 Participants2 Participants68 Participants12 Participants
Age, Customized
Missing
2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants
History of Smoking
No tobacco use
106 Participants36 Participants97 Participants34 Participants32 Participants109 Participants36 Participants551 Participants101 Participants
History of Smoking
Prior smoker
20 Participants5 Participants23 Participants7 Participants10 Participants24 Participants8 Participants123 Participants26 Participants
Race/Ethnicity, Customized
American Indian or Alaskan Native
0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants0 Participants3 Participants0 Participants
Race/Ethnicity, Customized
Asian
1 Participants0 Participants2 Participants0 Participants1 Participants4 Participants0 Participants9 Participants1 Participants
Race/Ethnicity, Customized
Black or African American
22 Participants5 Participants19 Participants9 Participants13 Participants31 Participants12 Participants127 Participants16 Participants
Race/Ethnicity, Customized
Hispanic or Latino
24 Participants8 Participants21 Participants5 Participants3 Participants20 Participants5 Participants95 Participants9 Participants
Race/Ethnicity, Customized
Missing
2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
100 Participants33 Participants99 Participants36 Participants39 Participants112 Participants39 Participants576 Participants118 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Pacific Islander
2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants3 Participants0 Participants
Race/Ethnicity, Customized
Unknown
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants
Race/Ethnicity, Customized
White
99 Participants36 Participants99 Participants32 Participants26 Participants95 Participants31 Participants528 Participants110 Participants
Sex/Gender, Customized
Female
78 Participants25 Participants84 Participants20 Participants26 Participants72 Participants23 Participants406 Participants78 Participants
Sex/Gender, Customized
Male
46 Participants16 Participants36 Participants21 Participants16 Participants61 Participants21 Participants266 Participants49 Participants
Sex/Gender, Customized
Missing
2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
0 / 410 / 440 / 420 / 410 / 1200 / 1330 / 1270 / 125
other
Total, other adverse events
22 / 4123 / 4424 / 4225 / 4170 / 12068 / 13365 / 12755 / 125
serious
Total, serious adverse events
2 / 413 / 442 / 423 / 416 / 12013 / 1337 / 1278 / 125

Outcome results

Primary

Participants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period

An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relationship of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.

Time frame: Day 1 to Week 26 of the Treatment Period

Population: Safety population which included all randomized participants who received at least 1 dose of randomized study drug.~The randomization allocation ratio of 3:1 (study drug: active comparator) should be taken into account when comparing treatment groups within treatment/strength cohorts

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal2 Participants
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE8 Participants
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE10 Participants
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE85 Participants
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE85 Participants
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE7 Participants
Fp MDPI 100 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE2 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE3 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE29 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE27 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal1 Participants
FLOVENT HFA 110 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE2 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE8 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE83 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE6 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE11 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE82 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal0 Participants
Fp MDPI 200 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE29 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal1 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE29 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE3 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE5 Participants
FLOVENT HFA 220 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE3 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE91 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE6 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal3 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE92 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE8 Participants
FS MDPI 100/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE9 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE2 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE4 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE28 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE29 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE1 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal2 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE86 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE85 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE13 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE11 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE12 Participants
FS MDPI 200/12.5 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe treatment-related TEAE0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE30 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 treatment-related TEAE8 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE resulting in death0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 serious TEAE3 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 nonserious TEAE29 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 severe TEAE3 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Treatment-Emergent Adverse Experiences (TEAE) During the Treatment Period>=1 TEAE leading to withdrawal1 Participants
Secondary

Analysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period

Samples for 24-hour urine cortisol were collected at baseline (Day 1, pretreatment), and Weeks 14 and 26. For participants requiring early termination (ET), this evaluation was performed at the ET visit. For participants requiring ET for safety reasons, the visit was not delayed in order to collect the 24-hour urine cortisol. The analysis is based on a mixed model for repeated measures (MMRM) model with adjustment for visit, treatment, and a treatment\*visit interaction. The urine cortisol result is log transformed prior to analysis and the results are back transformed after modeling. An unstructured covariance matrix is used in the MMRM model.

Time frame: Baseline (Day 1, pre-treatment), Weeks 14 and 26 and early termination visit if applicable

Population: A urine cortisol analysis subset of the safety population was defined that included participants whose urine samples did not have confounding factors at any visit that could affect the interpretation of the results.

ArmMeasureValue (GEOMETRIC_MEAN)
Fp MDPI 100 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period18.45 mcg/24 hours
FLOVENT HFA 110 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period13.94 mcg/24 hours
Fp MDPI 200 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period14.14 mcg/24 hours
FLOVENT HFA 220 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period17.50 mcg/24 hours
FS MDPI 100/12.5 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period17.56 mcg/24 hours
ADVAIR DISKUS 250/50 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period18.29 mcg/24 hours
FS MDPI 200/12.5 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period13.02 mcg/24 hours
ADVAIR DISKUS 500/50 mcgAnalysis of 24-Hour Urine Cortisol Free Over the 26-Week Treatment Period15.42 mcg/24 hours
Comparison: Mid-strength comparison90% CI: [1.02, 1.72]
Comparison: High-strength comparison90% CI: [0.63, 1.04]
Comparison: Mid-strength comparison90% CI: [0.75, 1.24]
Comparison: High-strength comparison90% CI: [0.67, 1.06]
Secondary

Change From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period

Spirometry measurements were obtained before the AM dose of study drug for the randomization visit (Day 1), at each of the treatment visits and at the early termination visit if applicable. At each visit where FEV1 was assessed, the highest acceptable results from each session were recorded. The analysis is based on a mixed model for repeated measures (MMRM) with adjustment for baseline FEV1, sex, age, (pooled) investigational center, visit, treatment, and treatment-by-visit. An unstructured covariance matrix is used in the MMRM model.

Time frame: Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, early termination visit if applicable

Population: The full analysis set (FAS) included all participants in the intent-to-treat (ITT) population who received at least 1 dose of study drug and had at least 1 post-baseline trough FEV1 assessment.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Fp MDPI 100 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.062 litersStandard Error 0.0243
FLOVENT HFA 110 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.053 litersStandard Error 0.0415
Fp MDPI 200 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.077 litersStandard Error 0.0246
FLOVENT HFA 220 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.090 litersStandard Error 0.0415
FS MDPI 100/12.5 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.116 litersStandard Error 0.0251
ADVAIR DISKUS 250/50 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.117 litersStandard Error 0.0419
FS MDPI 200/12.5 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.100 litersStandard Error 0.0235
ADVAIR DISKUS 500/50 mcgChange From Baseline in Trough Forced Expiratory Volume in 1 Minute (FEV1) Over the 26-Week Treatment Period0.041 litersStandard Error 0.0399
Comparison: Mid-strength comparisonp-value: 0.845195% CI: [-0.084, 0.103]mixed model for repeated measures
Comparison: High-strength comparisonp-value: 0.787795% CI: [-0.107, 0.081]mixed model for repeated measures
Comparison: Mid-strength comparisonp-value: 0.996695% CI: [-0.095, 0.095]mixed model for repeated measures
Comparison: High-strength comparisonp-value: 0.205695% CI: [-0.032, 0.15]mixed model for repeated measures
Secondary

Participants With Positive Swab Test Results for Oral Candidiasis

Oropharyngeal examinations for visual evidence of oral candidiasis were conducted at each visit by a qualified healthcare professional. Any visual evidence of oral candidiasis during the oropharyngeal exam was evaluated by obtaining and analyzing a swab of the suspect area. This outcomes indicates how many participants had positive swab test results. The total number of participants who had oropharyngeal exams at each timepoint are specified in the timepoint field. Appropriate therapy was to be initiated immediately at the discretion of the investigator and was not to be delayed for culture confirmation. Participants with a culture-positive infection could continue participation in the study on appropriate anti-infective therapy, provided this therapy was not prohibited by the protocol.

Time frame: Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, Endpoint

Population: Safety population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)1 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)1 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)1 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)2 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)0 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)1 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)2 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)1 Participants
Fp MDPI 100 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)1 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)0 Participants
FLOVENT HFA 110 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)0 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)1 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)1 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)1 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)1 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)0 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)0 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)1 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)1 Participants
Fp MDPI 200 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)1 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)0 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)0 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)1 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)1 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)1 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)0 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)1 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)1 Participants
FLOVENT HFA 220 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)1 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)1 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)1 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)2 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)0 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)0 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)1 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)1 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)0 Participants
FS MDPI 100/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)1 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)2 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)1 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)1 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)1 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)1 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)1 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)0 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)1 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)0 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)2 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)0 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)0 Participants
FS MDPI 200/12.5 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 14 (n=116, 36, 115, 38, 113, 38, 120, 41)1 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 18 (n=111, 37, 115, 38, 109, 38, 117, 40)0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisEndpoint (n=125, 42, 123, 41, 119, 40, 132, 44)0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 26 (n=111, 35, 113, 36, 110, 36, 116, 38)0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 6 (n=119, 41, 119, 40, 115, 39, 125, 43)0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisBaseline (n=127, 42, 124, 41, 120, 41, 133, 44)0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 22 (n=110, 36, 113, 36, 110, 37, 116, 38)2 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 10 (n=119, 37, 118, 39, 115, 39, 120, 40)1 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Positive Swab Test Results for Oral CandidiasisWeek 2 (n=123, 42, 123, 40, 117, 39, 131, 43)2 Participants
Secondary

Participants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period

Data represents participants with potentially clinically significant (PCS) vital sign values during the Treatment period. Significance criteria: * Systolic blood pressure - high: \>=180 and increase \>=20 mmHg * Systolic blood pressure - low: \<=90 and decrease \>=20 mmHg * Diastolic blood pressure - high: \>=105 and increase of \>=15 mmHg * Diastolic blood pressure - low: \<=50 and decrease of \>=15 mmHg * Pulse - high: \>=120 and increase of \>= 15 beats/minute from baseline * Pulse - low: \<=50 and decrease of \>=15 beats/minute

Time frame: Baseline (Day 1 pre-treatment), Weeks 2, 6, 10, 14, 18, 22 26, Endpoint

Population: Safety population of participants with a baseline and postbaseline vital sign value.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Fp MDPI 100 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
Fp MDPI 100 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high1 Participants
Fp MDPI 100 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low1 Participants
Fp MDPI 100 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high1 Participants
Fp MDPI 100 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low1 Participants
Fp MDPI 100 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low1 Participants
Fp MDPI 100 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality5 Participants
FLOVENT HFA 110 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low0 Participants
FLOVENT HFA 110 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low0 Participants
FLOVENT HFA 110 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality0 Participants
FLOVENT HFA 110 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low0 Participants
FLOVENT HFA 110 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high0 Participants
FLOVENT HFA 110 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
FLOVENT HFA 110 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high0 Participants
Fp MDPI 200 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low0 Participants
Fp MDPI 200 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high0 Participants
Fp MDPI 200 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality0 Participants
Fp MDPI 200 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high0 Participants
Fp MDPI 200 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low0 Participants
Fp MDPI 200 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low0 Participants
Fp MDPI 200 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
FLOVENT HFA 220 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high0 Participants
FLOVENT HFA 220 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low0 Participants
FLOVENT HFA 220 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low0 Participants
FLOVENT HFA 220 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high0 Participants
FLOVENT HFA 220 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality1 Participants
FLOVENT HFA 220 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low1 Participants
FLOVENT HFA 220 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
FS MDPI 100/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low0 Participants
FS MDPI 100/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality2 Participants
FS MDPI 100/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high0 Participants
FS MDPI 100/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low1 Participants
FS MDPI 100/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
FS MDPI 100/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low1 Participants
FS MDPI 100/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high0 Participants
ADVAIR DISKUS 250/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high0 Participants
FS MDPI 200/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality2 Participants
FS MDPI 200/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
FS MDPI 200/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low0 Participants
FS MDPI 200/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high1 Participants
FS MDPI 200/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low1 Participants
FS MDPI 200/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high0 Participants
FS MDPI 200/12.5 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - low0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodPulse - high0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - low0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodDiastolic blood pressure - high0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - low0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment PeriodSystolic blood pressure - high0 Participants
ADVAIR DISKUS 500/50 mcgParticipants With Potentially Clinically Significant Abnormal Vital Signs During the Treatment Period>=1 abnormality0 Participants
Secondary

Shifts From Baseline to Endpoint in Electrocardiogram (ECG) Findings

A 12 lead ECG was conducted at the screening visit and week 26 or the early termination visit. A qualified physician at a central diagnostic center was responsible for interpreting the ECG. The worst post-baseline finding for the participant is summarized. Endpoint refers to the last observation carried forward.

Time frame: Screening (Day -14), Endpoint (week 26 if study was completed)

Population: Safety population of participants with both screening and endpoint ECGs

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Fp MDPI 100 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal4 Participants
Fp MDPI 100 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal8 Participants
Fp MDPI 100 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal11 Participants
Fp MDPI 100 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal89 Participants
FLOVENT HFA 110 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal1 Participants
FLOVENT HFA 110 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal31 Participants
FLOVENT HFA 110 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal5 Participants
FLOVENT HFA 110 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal2 Participants
Fp MDPI 200 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal4 Participants
Fp MDPI 200 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal6 Participants
Fp MDPI 200 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal13 Participants
Fp MDPI 200 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal93 Participants
FLOVENT HFA 220 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal33 Participants
FLOVENT HFA 220 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal3 Participants
FLOVENT HFA 220 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal2 Participants
FLOVENT HFA 220 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal1 Participants
FS MDPI 100/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal5 Participants
FS MDPI 100/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal9 Participants
FS MDPI 100/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal12 Participants
FS MDPI 100/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal90 Participants
ADVAIR DISKUS 250/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal30 Participants
ADVAIR DISKUS 250/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal2 Participants
ADVAIR DISKUS 250/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal2 Participants
ADVAIR DISKUS 250/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal4 Participants
FS MDPI 200/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal101 Participants
FS MDPI 200/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal8 Participants
FS MDPI 200/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal9 Participants
FS MDPI 200/12.5 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal7 Participants
ADVAIR DISKUS 500/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint abnormal3 Participants
ADVAIR DISKUS 500/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint abnormal4 Participants
ADVAIR DISKUS 500/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline normal - Endpoint normal28 Participants
ADVAIR DISKUS 500/50 mcgShifts From Baseline to Endpoint in Electrocardiogram (ECG) FindingsBaseline abnormal - Endpoint normal4 Participants

Source: ClinicalTrials.gov · Data processed: Mar 1, 2026